Organization
NRH/CPT/ST.MARY/CIVISTA REGIONAL REHABILITATION, INC.
Active
Other names
NRH Rehabilitation Network @ Waldorf
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRICKLEY (VICE PRESIDENT AMBULATORY OPERATION)
(301) 540-6140
Entity
Organization
Contact information
Practice address
3 POST OFFICE RD, SUITE 105, WALDORF, MD 20602-2756
(301) 373-2588
Mailing address
20410 CENTURY BLVD, SUITE 215, GERMANTOWN, MD 20874-1186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
07/16/2019
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